Can Mindfulness Help You Quit Smoking?

Quitting smoking? Mindfulness can help quiet your nicotine cravings.

Nicotine dependence is a tough addiction to beat. About half of current U.S. smokers actually gave up cigarettes for more than a day within the past year, but then relapsed. So it’s good news when a quit-smoking approach increases the odds of long-term success. And it’s great news when that approach blows the gold standard treatment out of the water.

That’s what happened in a recent study of mindfulness for smoking cessation. The study, published in Drug and Alcohol Dependence in 2011, included 88 adults who smoked at least half a pack per day and wanted to quit. Participants were randomly assigned to eight sessions of either mindfulness training or a standard quit-smoking program. The standard program focused on strategies such as avoiding smoking triggers and making lifestyle changes.

The mindfulness group showed a greater reduction rate in smoking, which lasted after the treatment was over. Four months later, 31% of those in the mindfulness group were smoke-free, compared to only 6% in the standard treatment group. This was the first randomized clinical trial to look at mindfulness training as a stand-alone approach for quitting smoking. More research is needed to confirm the results, but they certainly seem encouraging.

Recently, I had a chance to chat with lead researcher Judson Brewer, MD, PhD, medical director of the Yale Therapeutic Neuroscience Clinic. In our conversation below, he explains how practicing mindfulness might help you quit smoking for good.

How did you become interested in using mindfulness to help people break free from addiction?

Dr. Brewer: I noticed that people who have addictions and those who teach mindfulness speak the same language. Mindfulness teachers will tell you that stress is caused by craving. If you can let go of that craving, then your stress will dissolve, and practicing mindfulness is the way to do that.

People with addictions understand craving better than most of us. For them, craving is a very concrete, immediate problem that’s causing havoc in their lives, and they’re looking for a solution.

Were you surprised that, in your study, mindfulness training worked better than the standard behavioral approach to quitting smoking?

Dr. Brewer: Yes, pleasantly! I liken it to having weeds in your garden. Standard treatments—for example, avoiding triggers such as ashtrays and lighters or using substitutes such as eating carrot sticks and chewing on your pen—just pull the heads off the weeds, so they grow back. These treatments don’t uproot the craving itself. In contrast, mindfulness really gets in there and pulls up the roots.

Let’s talk specifics. How do you teach people to use mindfulness to manage a craving for nicotine?

Dr. Brewer: In my clinical practice, I use the acronym RAIN:

Recognize the craving that is arising, and relax into it.

Accept this moment. Don’t ignore it, distract yourself, or try to do something about it.

Investigate the experience as it builds. Ask yourself, “What is happening in my body right now?”

Note what is happening. As you note pressure, dullness, tightness, or whatever, it becomes clear that these are nothing more than body sensations. You don’t have to act on them. You can simply ride out the sensations until they subside.

How does this process affect craving over time?

Dr. Brewer: Each time you ride out a craving, it gets weaker. Think of your craving as a screaming child in the grocery store. You could give your child a lollipop, but that’s only a temporary solution; he’ll start screaming again as soon as the lollipop is gone. You could clap your hand over your child’s mouth, but he’ll scream louder than ever as soon as you move your hand. In the same way, feeding a craving or trying to suppress it never works for long.

So what can you do instead? You can lovingly and patiently hold your child until the screaming stops. It might be uncomfortable for a while, but eventually your child will get tired and quit screaming. The next time your child screams, it won’t be as loud or as long. And the time after that, it will be less intense and shorter still, until eventually your child gives up screaming altogether. That’s how you train children—and how you tame cravings.

Are you a social drinker? Or do you smoke? Come and take part in our study!

If you decide to participate, you will be asked to complete an anonymous online survey, which will take about 30 minutes. The survey will include questions about your alcohol or cigarette use, and your state of mind and response to craving. Your responses will be entirely confidential.

Once you complete the survey you can register for a chance to win a $50 book voucher every month up to the end of this study (October 2013).

Go to https://macquariehs.qualtrics.com/SE/?SID=SV_6QcqsKYzeNryBFj to register or get more information. Your participation will be very useful and greatly appreciated.

This study is being conducted by Sarah Masters (email: Sarah.Masters@students.mq.edu.au, Ph: 0404 323 470) of the Centre for Emotional Health, Macquarie University Department of Psychology under the supervision of A/Prof Andrew Baillie (email: Andrew.Baillie@mq.edu.au, Ph: 02 9850 9436) of the Macquarie University Department of Psychology, and Dr Bruno Cayoun of the University of Tasmania Department of Psychology.

Mindfulness sound like such a good idea to pull out the roots of craving for nicotine. Such a great metaphor. Thanks for sharing!
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In reading the "study" one arm included group therapy with a psychologist an people were paid to participate so I am not surprised it would have a higher quit rate...

Was it the group or the doctor or the mindfulness isn't clear though and they should have compared it to the standard of care "When NRT and Zyban were used in combination under a physician's care, the success rate was 39%, and 35.5% at one year"